Controlled Substance Medication Count and Reconciliation Log

Inspection template for tracking receipt, daily count, storage security, administration, discrepancies, and disposal of controlled medications in a school health office.

Inspection Details

• Inspection date and time recorded
• School site and health office identified
• Inspector name and role recorded
• Medication storage location identified

Controlled Substance Receipt and Inventory Setup

• Receipt documentation matches medication name, strength, dosage form, and quantity received
• Original count at receipt documented by authorized staff
• Medication label and prescription/order information verified against student record
• Controlled medication entered into count log upon receipt
• Unused or partial doses from prior supply documented separately

Daily Count Reconciliation

• Physical count matches expected balance for each controlled medication
• Count performed at required interval and after each administration or removal
• Count verified by second authorized staff member when required by policy
• Discrepancies, if any, documented with medication name, expected count, actual count, and variance
• Administration, return, or waste entries reconcile to remaining balance

Storage Security and Access Control

• Controlled medications stored in a locked cabinet or secure container
• Access limited to authorized personnel only
• Keys, codes, or access credentials controlled and not shared inappropriately
• Storage area protected from unauthorized student access and tampering

Administration, Returns, and Disposal

• Each administered dose documented with date, time, dose, and initials
• Returned, refused, or unused doses documented and reconciled
• Expired, discontinued, or disposed medication documented with method, date, and witness

Discrepancy Escalation and Sign-Off

• Any unresolved count discrepancy escalated per school policy and documented
• Witness or second verifier signature captured when required
• Inspector signature captured